August 7, 2011Pacing and Clinical ElectrophysiologyOpen Access

The Importance of Tricuspid Regurgitation and Right Ventricular Overload in ICD/CRT Recipients: Beside the Left, beyond the Left

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Why the study?

Does ICD or CRT lead placement worsen tricuspid regurgitation and right heart hemodynamics in patients with advanced heart failure?

Population

Patients with advanced heart failure receiving implantable cardioverter-defibrillator or cardiac…

Design

Review

Authors

SFSergio FazioPreventive Cardiology GCGuido CarlomagnoClinica Mediterranea

Discussion

Member takes

Implication

Alerts clinicians to lead-related TR risks in HF device candidates; leaves open need for prospective outcome data before practice change.

Structured PICO

Does ICD or CRT lead placement worsen tricuspid regurgitation and right heart hemodynamics in patients with advanced heart failure?

Population

Patients with advanced heart failure receiving implantable cardioverter-defibrillator (ICD) or cardiac resynchronization therapy (CRT) devices, particularly those with preexisting pulmonary vascular overload and both left and right ventricular remodeling/dysfunction.

Intervention

Implantable cardioverter-defibrillator (ICD) or cardiac resynchronization therapy (CRT) lead placement

This viewpoint highlights the potential for ICD and CRT leads to worsen tricuspid regurgitation and right heart hemodynamics, suggesting this risk should be incorporated into preimplant evaluations.

Cite This Study

Fazio et al. (2011) studied this question.

synapsesocial.com/papers/6a72c0f226770c2b8de18ee2 https://doi.org/10.1111/j.1540-8159.2011.03189.x

Topics

Cardiac device therapy Tricuspid regurgitation Heart failure HFrEF treatment

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The Importance of Tricuspid Regurgitation and Right Ventricular Overload in ICD/CRT Recipients: Beside the Left, beyond the Left

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

The Importance of Tricuspid Regurgitation and Right Ventricular Overload in ICD/CRT Recipients: Beside the Left, beyond the Left

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider